CareSource wants to equip you to work with our health plan to provide the best service for our members. The following materials will help familiarize you with the CareSource Ohio...

...Kentucky Marketplace plans West Virginia Marketplace plans Ohio Medicaid and Ohio D-SNP (with opt-in Medicaid coverage) To become a CareSource Provider, pharmacists must enter into a contract with CareSource. (Note:...

...Disease Management program, please call 1-844-438-9498. CareSource® offers care and disease management that can provide a broad spectrum of educational and follow-up services for your patients. Care Management Program CareSource’s...

...To initiate the peer-to-peer process, please call CareSource’s Utilization Management team at 1-833-230-2101. CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness, and benefit limits. Services That Require...

...care treatment plans and notifying CareSource of members who may benefit from care coordination. In addition, CareSource PCPs play an integral part in coordinating health care for our members by...

...Ohio: Ohio Department of Medicaid (ODM) – 1-614-466-0722 Medicaid Fraud Control Unit (Mfcu) – 1-800-282-0515 The Ohio Auditor Of State (AOS) – 1-866-Fraud-OH or by email at fraudohio@ohioauditor.gov Employee Ethics...

...As a CareSource® provider, you are required to respect the rights of our members. CareSource members are informed of their rights and responsibilities via their member handbook (also known as...

...support you, we will be rewarding you $20 for each flu shot you administer to CareSource patients in your practice! FIND OUT MORE We encourage providers to access the available...

...healthy! How to earn Rewards for completing healthy activities. CareSource MyLife CareSource MyLife is a personal, secure portal account that can help you get the most out of your member...

...SEC. 2913.40 MEDICAID ELIGIBILITY FRAUD, OHIO REVISED CODE SEC. 2913.401 FALSIFICATION, OHIO REVISED CODE SEC. 2921.13 OFFENSES BY MEDICAID PROVIDERS, OHIO REVISED CODE SEC. 5164.35 CareSource Policy It is the...